Individual
CHARDAE ANDREA WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 SCHOOL ST, BALTIMORE, MD 21217-2828
(410) 736-9683
(410) 669-3829
Mailing address
1508 PENNSYLVANIA AVE APT 10, BALTIMORE, MD 21217-3111
(410) 736-9683
(410) 669-3829
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00082196
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216364596A
MEDICARE
MD
Enumeration date
11/06/2009
Last updated
11/06/2009
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